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Testosterone Replacement Therapy: Controversy and Trends – Medscape

Posted: November 9, 2019 at 8:42 pm

Abstract and Introduction Abstract

In recent years, testosterone replacement therapy (TRT) has received significant media attention, and the rate of testosterone use has increased notably. A reported association between testosterone use and increased occurrence of myocardial infarction and stroke prompted the FDA to issue a safety bulletin in 2014. Clinical hypogonadism is the only FDA-approved indication for TRT in men; it is not approved to treat age-related low testosterone. Although it is not indicated, TRT is often recommended to improve sexual function, bone density, body composition, muscle strength, mood, behavior, and cognition. The literature on the effectiveness of TRT for various conditions is largely mixed; therefore, current data on appropriate and potentially inappropriate use are important for pharmacists to keep abreast of and discuss with patients.

Recently, the use of testosterone replacement therapy (TRT) has received a lot of media attention. Although its use is growing, there is much debate regarding TRT's risks and benefits.[1] From 2008 to 2012 in the United States, spending on TRT increased from $1 billion to $2 billion, and from 2003 to 2013 there was a fourfold increase in the rate of TRT in men aged 18 to 45 years.[2] In 2013 and early 2014, two studies reported an association between TRT and increased occurrence of myocardial infarction and stroke, prompting the FDA to issue a safety bulletin on January 31, 2014.[3] This article will discuss appropriate TRT use, available formulations and cost, side effects, trends, and the pharmacist's role in patient education, including counseling points.

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Testosterone Replacement Therapy: Controversy and Trends - Medscape

Mum loses half her body weight after being fat shamed by son – Yahoo Lifestyle Australia

Posted: November 9, 2019 at 5:48 am

A mum has lost almost half of her body weight after being fat shamed by her son and realising she had to make dramatic changes to her relationship with food.

Schauna Harshman revealed she always felt like she was the fat and ugly friend growing up through school, and once she fell pregnant she continued to pile on the weight.

The 35-year-old from North Dakota, US, gained 26 kg during her first pregnany and by the time she had her third child was tipping the scales at 133kg wearing a size 28 in clothes.

I got pregnant at 18 and used that as an excuse to eat and drink whatever I wanted. I gained more than four stone during my first pregnancy. From there I just kept gaining weight with each child, Schauna said, adding her diet largely consisted of fried food, processed meals, fast food, and pasta.

I was making quick and easy processed meals. I was very uneducated about nutrition as Id grown up eating meat and potatoes, with a lot of canned foods. I never ate anything fresh or homemade, so I carried that on as a mother.

When her middle son Chase was three years old, he started mocking Schauna by calling her fat, which she admits felt like rock bottom for her and pushed her to see that she needed to improve her lifestyle.

Schauna weighed 133kg at her heaviest before her son 'shamed' her. Photo: Australscope

One day, my middle son was making fun of me, calling me fat and laughing about it. I was fed up of my weight but to hear my son, who loves me, make fun of me that way, Id had enough. That was my rock bottom she said.

I was angry and emotional. Of course, he had no idea the impact it had on me as he was only three. I remember locking myself in the bathroom and crying. Asking myself how I was going to fix the problem.

I told him that its not funny to call people fat and laugh about it. He could see I was really upset and he felt sad when he saw I was crying.

She had lap band surgery and started Keto. Photo: Australscope

She began researching weight loss surgeries and she decided to have a lap band inserted a band placed around the top of the stomach to create a smaller stomach. In March 2013 she went ahead with surgery and has been amazed at the results since.

I set up a consultation with a bariatric surgeon and we went over the options. I had to do a visit with a personal trainer to learn how working out is important, she said, explaining how she started going to the gym one month after having the surgery.

I also had to prove that I could lose some weight before my surgery, which I did! I was 107kg when I went for surgery, she added.

After the surgery and through working out at the gym she managed to lose a huge 30kg before also addressing her overall diet and turning to Keto to lose the last little bit.

By focusing on low-carb foods and counting her macros, Schauna is now a healthy 71kg and a size 12.

She's now lost over 60kg and is a size 12. I Photo: Australscope

Through keto I learned that its about maintaining a lifestyle rather than constantly shedding, so I switched to macro counting, which is what Im currently doing and I feel amazing, she said, deciding to start sharing her journey on Instagram@lowcarb.godess.

My friends and family are so proud of me and Im so thankful for their support. Its given me a real drive to keep going and to show people that you can do anything you put your mind to.

Im a mum of three so Im constantly running around after my sons, I work full time and still manage to track my food, eat homemade meals and work out every day. Anyone who sees that I can do it can know that they can too.

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Mum loses half her body weight after being fat shamed by son - Yahoo Lifestyle Australia

Lynn slimmer says her life has been saved after shedding six-and-half stone – Lynn News

Posted: November 9, 2019 at 5:48 am

A slimmer who lost six-and-half stone in less than two years is looking forward to inspiring others when she takes on the role of consultant at a Lynn group this month.

Ahead of World Diabetes Day on Thursday, November 14, Charlotte Doughty, of Lynn, is also celebrating the fact that by losing weight, she has reduced her risk of type 2 diabetes.

She has grown up with a family history of diabetes with her dad and grandmother both suffering from type 2 diabetes.

Charlotte achieved her weight loss having joined Slimming World, which supports patients who have type 2 diabetes to lose weight and manage their glucose control.

Charlotte joined her local group at Gaywood Library in 2017. She said: I was diagnosed firstly with gestational diabetes when pregnant with my second child in 2001, then again with pre-diabetes in early 2015 at the age of 38 while pregnant once again. The doctor told me my weight was seriously impacting my health, and I needed to take control of my weight to help manage the condition.

"Unfortunately my unborn baby was later diagnosed with Edwards Syndrome, a genetic disorder, and sadly passed away in the womb at 37 weeks.

"I was told by health professionals that my weight along with my age may have played a factor in my babys condition. Due to my grief and self-loathing that I may have caused my babys condition, my eating escalated further and despite the warnings from my GP, I continued to eat fast food and drink pints of lager.

"It became a vicious circle of feeling depressed about my weight by turning to food and alcohol. Being overweight seriously began to impact on so many aspects of my life. I always felt like I was lacking energy and motivation."

With support from her partner, Ian, and the group, Charlotte followed Slimming Worlds Food Optimising eating plan and started cooking healthy meals from scratch.

She said: People think slimming means going hungry, yet its not like that at all with this healthy eating plan. I love food and I never once felt like I was on a diet. In fact, people are always surprised at how much food I have on my plate and cant believe Im losing weight eating so much delicious food and without ever feeling hungry."

Charlotte has gone from a dress size 24 to a size 12. Shes also more active nowadays and regularly attends the local Parkrun at the Walks.

Thanks to the changes Ive made my health has improved dramatically and I am no longer pre-diabetic. My blood sugar reading is now in the normal range and I show no symptoms of type 2 diabetes.

"Slimming World has literally saved my life as I was only heading one way. I want to go on to inspire and support others to do the same, Ive got my life back and I couldnt be happier."

She will take over as consultant at Slimming World's group which meets at Providence House, Providence Street, Lynn, group on November 23.

The sessions run every Saturday morning at 8.30am and 10.30am. For further information please contact Charlotte on 07840 769842.

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Lynn slimmer says her life has been saved after shedding six-and-half stone - Lynn News

Mind the scam: How to shop safely on Singles’ Day? – Gadget

Posted: November 9, 2019 at 5:47 am

Great athleticism doesnt just happen from the neck down and great minds dont only rely on everything above the shoulders. There is clear and growing proof that the relationship between our minds and bodies are key for reaching our real potential.

This applies to professionalgamingas well. The image of the overweight, out of breathgameris outdated. Todays competitivegamershave to operate at the best of their abilities, which means they must focus equally on their mental and physical wellbeing.

I am a firm believer in the Latin phrase Mens sana in corpore sano, which translates as a healthy mind in a healthy body, says Dimitri Detrony Hadjipaschali, a Counter-Strike progamerplaying for esports group Bravado. In short, this suggests that physical exercise is important for your psychological well-being. With that said, I know that getting into an active routine can be challenging, but whether or not one enjoys it it should certainly be a part of your lifestyle!

Bravado, sponsored by Alienware and Intel, is South Africas leading esports group. It emphasises players being at their physical and mental best. This has led to a collaboration with Professor Peet du Toit, who specializes in Exercise- and Neuroscience research at the University of Pretoria. His work makes it clear that the mind-body relationship is one of the most critical components for success.

The combination of brain flexibility, brain fitness, health-related fitness and skill-related fitness is what creates top performance. Exercise plays an important role in brain health and neuroplasticity. But a healthy body also follows a balanced brain. If you focus on both, you get incredible results.

The rise of Neuro-Agility

Prof du Toit promotes Neuro-Agility, a new innovation in neuroscience that can help develop the super learning powers people require. Neuro-Agility focuses on the six drivers that optimize brain health and performance and its impact on seven neurological components of learning, thinking and cognitive processes. These two dimensions will have an impact on performance of individuals and determine their competitive advantage.

One would thinkgamingdoesnt qualify. Games have a reputation for making our brains lazy and slow. But Prof du Toit disagrees with this, citing academic research that reveals the benefits ofgaming:

Strategy video games have shown promise in improving cognitive control, reasoning, and higher-order cognitive skills, and stave off dementia and Alzheimers disease as long as possible.Gamingmay also be a viable treatment for depression and mild cognitive impairment. However, cognitive training should come second to physical activity programs when it comes to improving cognition, brain function and structure.

This last point is very important and why Bravado has asked Prof du Toit to use his insights to improve the performance of its esports athletes. This is accomplished through several ways which can be subdivided into different areas: brain fitness, stress coping skills, sleep, movement, mindset, hydration, body weight, resting heart rate, wellness, pain, performance, energy levels and brain foods.

Using a program designed around these factors, Bravadosgamershave access to numerous exercises that help engage their minds and improve mental elasticity. This not only includes boosting brain flexibility and promoting positive information channels a crucial factor for brain health but also balancing brain waves and promoting the use of both brain hemispheres.

Most people are homolaterally fit, which means they mostly only use one hemisphere of their brain, Prof du Toit explained. We are capable of being bilaterally fit using both hemispheres. There are ways to train for this, as well as to improve focus, concentration and shifting mental gears.

The big brains of Bravado

In the cutthroat world of professionalgaming, split seconds can determine victory or defeat. By using the research and products developed by Prof du Toit and his team, Bravado will gain an edge over the competition.

Having a balanced lifestyle which includes physical and social activity alongside yourgamingcertainly does improve your gameplay, said Dimitri. Needless to say, it also improves your general health, which is always good! Being physically active aids your overall mindset and state of mind. This is especially the case if you are making a career out of esports or even playing semi-professionally. Exercise improves your personal skill, boosts your confidence as well as your ambition and drive.

Bravado members are being assessed for their individual Neuro Agility (NAP) and Body Agility (BAP) Profiles. These are the benchmarks from which they then improve their performance, using the Limitless You Neurolink Peak Performance Program (LYNPPP). The program includes brain and body agility activities, many of which can be done in the comfort of ones bedroom, as well as nutritional products thatwill, among many benefits, optimize performance, enhance cognitive ability, reduce stress, reduce inflammation, increased energy levels, give resistance to fatigue and impact productivity. Enhanced cognitive ability will result in increased receptiveness, perceptiveness, mental alertness, memory, attention, focussing and energy levels.

NAP, BAP and LYNPPP were born and are grounded in applied neuroscience, said Prof du Toit. These arent just more instruments with an added neuroscience flavour. It is a predictive analysis that serves as a framework for professionals and individuals in talent development and performance improvement. It can identify potential, select talent, develop talent, improve engagement, promote brain health, minimize risk for human error, improve happiness and liftgamingperformance.

Any serious esports competitor will agree that you have to look after both your mind and body to be at your best. Top players dont just game but participate in a range of activities that promote their physical health, stimulate their minds and strengthen their social connections. Such habits, combined with a good diet and focused improvement through something such as LYNPPP, are what create champions.

If we want to be the best, we have to outlearn, outthink, outtrainand out-create our competition, said Andreas Hadjipaschali, CEO of BravadoGaming. The collaboration with Prof. du Toit and LYNPPP will help create that edge for Bravado.

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Mind the scam: How to shop safely on Singles' Day? - Gadget

Parker Jewish Institute helps communities age in place – ROP Common – The Island Now

Posted: November 9, 2019 at 5:47 am

In its continued mission to foster aging in place, Parker Jewish Institute is enhancing its relationships with Naturally Occurring Retirement Communities (NORCs).

Supported by government funding, UJA-Federation of New York and other partners, including Parker, these communities typically encompass a sizable population of adults, ages 60 and older. These adults want to enjoy healthy, active, safe and independent lives in their neighborhood.

NORCs may be based in a single building or housing complex, or an age-integrated neighborhood, including those with single-family homes.

Parker works with NORCs in the region, including NORC WOW (Naturally Occurring Retirement Community With Out Walls), a program of Common point Queens NORC Supportive Services Programs, with offices in the Sam Field Center in Little Neck, where participants have access to Case Management Services, which include social work and nursing services.

With this partnership, Parker provides a myriad of services for older adults living in Floral Park, New Hyde Park, and Bellerose.

These offerings include in-home nurse visits, the monitoring of chronic health conditions and medications, immunizations and health screenings. Other services comprise health-care system advocacy, health and diet consultations, home safety assessments and caregiver education and support.

We are proud to partner with NORCs, in particular with Commonpoint Queens NORC Supportive Services Program, which is located right in our backyard, Parkers Assistant Vice President of Corporate Outreach Lina Scacco said. In these areas, senior residents can readily access the kind of services they may need to live independently for as long as possible. And through our relationships with NORCs, we can share information about additional Parker services, as well as other health care resources, they might find valuable -either for themselves or a family member, while at the same time help residents remain safely in their home.

Working with Licensed Social Workers and Registered Nurses, NORC WOW residents benefit from home visits, counseling and family support; long-term planning; information about Medicare, Medicaid, Medicare Part D, and related matters; and assistance with securing and understanding entitlements.

And there are additional advantages, including monthly luncheons, exercise and wellness classes, community seminars, intergenerational programs, volunteer options and assistance with maintenance referrals.

Many of these offerings, through Case Management Social Work Services, offered through the Commonpoint Queens NORCs, provide the welcomed opportunity to socialize.

Combining Social Work and Registered Nursing Services not only enhances the overall wellbeing of NORC members but gives peace of mind to the many independent residents that reside in those communities. They provide an extra level of support and resource that typically they may not have been aware of, as some of these residents are homebound and isolated. Its a partnership that promotes collaboration, teamwork and a stronger sense of community for all.

By partnering with NORCs, Parker helps older adults not only maintain their independence but also improve their quality of life. And by participating in the program, older adults avoid unnecessary hospital and nursing homestays.

Participants and their families also gain access to information about Parkers extensive community-based resources, including Social Adult Day Care, Home Health Care, Medical House Calls, Palliative Care and Hospice.

Submitted by the Parker Jewish Institute

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Parker Jewish Institute helps communities age in place - ROP Common - The Island Now

Eating meals early can help in weight loss – Times of India

Posted: November 9, 2019 at 5:45 am

The desire to stay in shape is an universal dream, and what makes it even more important is our fast paced life. In fact, a healthy body and a sane mind is something that we all need to stay abreast with the challenges of urban life.According to a recent study, eating all your meals earlier in the day helps in suppressing food cravings, thereby promoting weight loss. In fact, eating a healthy and wholesome diet, early in the day can help your body to derive all the essential nutrients and still help you manage weight. A simple way to manage this is by going for an intermittent fasting. One of the most popular diets, this term intermittent is used to describe the eating patterns in which one needs to fast for as good as 8-12 hours, which gives the body ample time to digest the food and restore the nutrients. In fact, eating early also helps in reducing obesity. As per a few studies, it has been observed that early time-restricted feeding helps in curbing appetite and promote fat burning.It has also been established by a few studies that eating after long intervals make it pretty sustainable to lose weight. However, intermittent fasting much like other fad diets must be started only after seeking medical advice as it can also lead to too much bloating and acidic formation and dehydration. Moreover, this form of diet can be unhealthy for people suffering from high blood pressure, cancer or gastro intestinal issues. Another amazing thing about this diet is that it does not restricts one on what they eat, but it restrict the time and intervals in which they eat. In fact, the best thing about this diet is that you must eat all meals early, so that you body gets enough time to process it and extract all the essential elements, this helps in managing weight in a sustainable way. But too much of anything can be harmful, thus seeking a medical advise is the right way to go about it!

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Eating meals early can help in weight loss - Times of India

Curd Vs Milk: Which Is Better For Weight Loss? Nutritionists Reveal – Doctor NDTV

Posted: November 9, 2019 at 5:45 am

Weight loss tips: Probiotics in curd give it the edge over milk when it comes to aiding weight loss. However, there is little or no difference in calorie content of milk and curd. Read here to find out more.

Weight loss: Dairy products like curd and milk are a rich source of calcium and Vitamin D

Curd vs milk for weight loss: Curd and milk are both common in people's daily diet. Some people can't do without milk in morning (or night) or without a wholesome cup of curd along with meals. And is this a healthy habit for weight loss? We will find out here. Curd and milk are protein-rich dairy products that are also rich in calcium. It is important to include curd and/or milk in kids' diet for optimum nutrition. Dairy products like milk and yogurt are also rich in Vitamin D, potassium, riboflavin, phosphorus and Vitamin B12. Vitamin D and calcium in milk and yogurt facilitate stronger bones. In this article, we are going to see if milk or curd...which one of the two is better for weight loss.

We speak to nutritionist Rupali Datta if milk is better for weight loss or curd. "Both milk and curd are calorie-wise similar. Curd, however, contains probiotics-which provide beneficial bacteria to the gut," she says while adding, a healthy gut is directly proportional to a healthy digestion and good overall health. This may give curd the edge for being more weight loss-friendly.

She is quick to mention that the calorie content in milk and curd are nearly the same. "Adults should have skimmed or low-fat milk and curd made from skimmed milk. Kids should have full fat milk and curd made from full-fat milk," she asserts.

Delhi-based nutritionist Pooja Malhotra also believes that curd is more weight loss friendly than milk. She says, "Between milk and curd, curd is definitely a healthier option for both weight loss as well as weight gain. Curd is easy to digest as the proteins get partially denatured during the setting of curd. Curd rice is a delicious combination which helps in recovery when someone is unwell too."

She points out that both curd and milk can aid weight gain as well. "Both milk and curd can be used in a weight gain diet too. Full cream milk and full cream curd can included for weight gain. You can prepare sweet lassi, banana milk shake, milk with with badaam thandaai, etc, if you want to gain weight in a healthy way," adds Pooja.

Dairy products like milk and curd can be used in weight gain diets tooPhoto Credit: iStock

Also read:You Can Now Have Plenty Of Curd To Reduce Anxiety

Having said that, it is important to understand that milk and curd, that is natural and hormone-free, should be a part of a balanced diet.

1. Dairy products like milk, curd, cheese and cottage cheese are a rich source of protein. Protein is the building block of the human body. It is a macronutrient which is also responsible for regulating hunger hormones.

2. Casein, globulin and albumin are the three proteins present in milk. They help in keeping you satiated and full for longer.

3. Curd is an excellent source of good bacteria for gut. Eating curd regularly can restore good digestion.

Also read:6 Best Non-Dairy Substitutes For Milk

4. Live active cultures found in curd can fight disease-causing germs, thus giving a boost to your immunity. According to a study by University of Vienna researchers, eating 200 gms of curd can be as effective in boosting immunity as popping pills.

5. Both curd and milk have beneficial effects on skin. While milk can be used as a gentle cleanser and moisturiser, curd can be used an exfoliator. Curd can help in reducing skin blemishes and dead cells on skin.

Both curd and milk have moisturising effects on skinPhoto Credit: iStock

6. Potassium content in milk and curd make them beneficial high blood pressure patients. Potassium negates the effect of sodium on high blood pressure. The more potassium you eat, the more sodium you are able to lose through urine.

Also read:Here's Why You Must Have A Glass Of Milk Everyday

So if you are trying to lose weight, both curd and milk can be beneficial for you. This, of course, is possible only when you practice portion control. Along with protein and other nutrients, dairy products contain fat too. Eating too much of curd or drinking more than a glass of milk daily can adversely affect your weight loss. Calculate your intake of milk and/or curd depending on your overall caloric intake during the day, recommends Dr Rupali.

(Dr Rupali Datta is Consultant Nutritionist at Fortis Escorts)

(Pooja Malhotra is a nutritionist based in Delhi)

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

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Curd Vs Milk: Which Is Better For Weight Loss? Nutritionists Reveal - Doctor NDTV

Calcium in prepartum diets benefits reproductive health – Wisconsin State Farmer

Posted: November 9, 2019 at 5:45 am

Lauren Quinn, University of Illinois Published 7:03 p.m. CT Nov. 5, 2019

Achieving an appropriate calcium balance in dairy cows is critical near calving, but not only to ensure a healthy transition to lactation.(Photo: Courtesy University of Illinois)

URBANA, Ill. Achieving an appropriate calcium balance in dairy cows is critical near calving, but not only to ensure a healthy transition to lactation. According to a new study from the University of Illinois, calcium added to acidified prepartum diets can improve a whole suite of postpartum outcomes, including lower rates of uterine infection and quicker return to ovulation.

We know that calcium metabolism in dairy cows is very important. Theres research saying that 50% of multiparous cows (those on their second or third pregnancy)suffer some sort of deficiency of calcium, saysPhil Cardoso, associate professor in theDepartment of Animal Sciencesat Illinois.

Cardoso explains that the common practice of feeding an acidified diet prior to calving forces the cow to manufacture and redistribute calcium from her bones. This activation of internal calcium production carries the cow through to lactation, when she resumes consuming calcium in her diet.

Producers commonly feed negative DCAD diets in the weeks before calving, usually supplemented with a small amount of calcium (1% of dry matter). The practice is typically enough to avoid full-blown milk fever, or clinical symptoms of calcium deficiency. But Cardoso says there has been little guidance on how much to acidify the diet to remobilize the optimal amount of calcium and avoid excretion in the urine. He also says no one has tested the effects of adding different concentrations of dietary calcium to the fully-acidified DCAD diet.

Calcium is important for many cellular processes. Without adequate calcium concentrations, tissues dont work optimally and are subject to inflammation and susceptible to disease. We wanted to test whether an increased amount of calcium 2% of DM added to an acidified diet during the last month of pregnancy could prevent those issues and lead to more favorable reproductive outcomes, Cardoso says.

His team fed 76 multiparous Holstein cows one of three diets in the month before calving: a control, non-acidified DCAD diet with no added calcium; an acidified DCAD diet (-24 milliequivalents per 100 grams of dry matter) with no added calcium; and an acidified DCAD diet (-24 milliequivalents) with added calcium at 2% of dietary dry matter. The DCAD formulation was mixed with typical forages and corn silage in prepartum diets. After calving, all cows were switched to a typical postpartum diet with 1% of dietary dry-matter calcium.

The researchers then monitored changes in the blood, uterus, ovaries, and pregnancy status at two and four weeks post-calving.

There was a tendency for cows fed the negative DCAD + calcium diet to get pregnant at a higher rate than cows fed the control diet, but we need to test that in a larger population to be sure of that result, Cardoso says.

What he is sure of is that cows fed the diet with added calcium took less time to ovulate and had lower levels of uterine infection than cows on the other diets. This was likely due to the fact that cows on the calcium-added diet had more tight junction proteins in the uterine lining; these proteins bind adjacent cells, preventing a leaky tissue that could allow pathogens to enter the bloodstream during calving.

Ours is the first study showing tight junction proteins even exist in the uterus of the dairy cow, and also clearly indicates that added calcium improves their number and function, Cardoso says.

Cows fed the calcium-added diet also had more favorable disease-fighting antioxidants in the blood and more glands in the uterine lining, which keep the organ clean and produce hormones that can kick-start ovulation. That could be why we saw better pregnancy rates, Cardoso says.

He points out that many producers have been using a negative DCAD strategy for decades, but arent acidifying the diet enough, taking it to only -5 milliequivalents and not adding calcium, or adding it at only 1% of dietary dry matter.

We are saying that you need to go to -20 milliequivalents and up to 2% of dietary dry matter for calcium, he says.

The message to the dairy industry is clear: A negative DCAD diet with added calcium is helpful not only to get through the transition to lactation. It can help improve future pregnancy outcomes in the herd. Cardoso wants to get the message to both nutritionists and veterinarians, who hed like to see talking to each other more often to create strategies for improved reproduction.

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Calcium in prepartum diets benefits reproductive health - Wisconsin State Farmer

What is CrossFit? And is it right for you? Here’s what you need to know – NBC News

Posted: November 9, 2019 at 5:45 am

Its almost inevitable that you've scrolled past a sweaty selfie of a friend, co-worker or high school classmate bragging about their WOD and professing their love for CrossFit.

CrossFit became a super popular workout a few years ago when box gyms began popping up not only across the country, but the world. CrossFit is practiced by members of over 13,000 affiliated gyms in 120 countries. In the U.S. alone, there are over 7,000 gyms offering the program. Its estimated that there are roughly 4 million CrossFitters, and its members are so devoted to the competitive approach to fitness that the community has even been described as cult-like.

With all this publicity, you may have wondered if this program could work for you. Before you jump into the box (ahem, thats CrossFit speak for gym), heres what you need to know about the workout craze and how to determine if it's right for you.

A form of high intensity interval training, CrossFit is a strength and conditioning workout that is made up of functional movement performed at a high intensity level.

These movements are actions that you perform in your day-to-day life, like squatting, pulling, pushing etc. Many workouts feature variations of squats, push-ups, and weight lifting that last for predetermined amounts of time to help build muscles. This varies from a traditional workout that may tell you how many reps to do over any period of time.

CrossFit Journal notes that the workouts are so effective because of their emphasis on the elements of load, distance and speed, which help participants develop high levels of power. The workout may utilize different equipment to accomplish this, including kettle bells, rowers and bikes, medicine balls, speed ropes, rings and plyo boxes.

CrossFit is similar to Orange Theory in that there is a standard "workout of the day" (WOD) that all members complete on the same day. The daily workout can be found on their website (which is always free), along with a guide to all the specialized lingo that is used. There is also a substitutions section on their FAQ page that suggests places to find level appropriate workouts. CrossFit is universally scalable and modifiable for all fitness levels, so it can be tailored to meet your goals and current fitness level, says Tracey Magee, owner and head coach of CrossFit Clan Performance Center.

You may have a preconceived notion of the type of person who belongs in a CrossFit gym (relatively young, jacked, etc.), but Tony Caravajal, certified L-2 CrossFit trainer with RSP Nutrition, strongly believes that CrossFit is hugely beneficial for the full spectrum of ages and athletic capabilities, starting with adolescents. CrossFit Kids classes are a fantastic way to help a child develop balance, coordination, as well as proper motor skills. He says that these skills are a fantastic way to put a child ahead of the game as well as instill a love for a healthily lifestyle.

Patrick Zeiher, owner of CrossFit Indian Trail, notes that one reason CrossFit is so beneficial for all ages is that the physical needs of a person vary by degree not by kind. We can literally have a 60-year-old athlete doing a similar variation of a workout as a 25-year-old competitive athlete, he says. Their needs don't vary by kind; in other words, they both need to be able to squat to a toilet, pick something up off the floor, or get themselves off the floor. The 25-year-old should just be able to do it all faster, says Zeiher.

Another essential element of CrossFit is the spirit of sports and competition. Many CrossFit gyms use strategic actions, like keeping a score board and posting winners to social media, as motivation rather than a reward system. So if youre someone who is motivated by competition to push yourself physically, CrossFit may prove a great exercise for you that drives fast results.

As with any high intensity workout, there is some risk involved. One study found that 20 percent of the CrossFit participants surveyed injured themselves while doing CrossFit endorsed workouts.

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The injury rate of CrossFit is about 20 percent, meaning 20 percent of people who perform CrossFit branded workouts regularly will be injured at some point, which is high for a recreational activity," says Cuyler Hudson, a physical therapist at Finish Line. "I personally see CrossFitters regularly in my physical therapy practice. Injuries will usually occur as an athlete fatigues, which causes their form to also fatigue, causing the load to be shifted from the areas it is supposed to be to areas that cannot handle the stress as well.

You may hear several acronyms and words thrown around during a class, either verbally or written on a board with the workout for the day. Here are some of the most common:

WOD: Workout of the Day

EMOM: Every Minute on the Minute

AMRAP: As Many Reps as Possible

Box: A CrossFit gym with the bare necessities to perform all the WODs.

Ladder: A series of exercises where you increase the number of reps by 1 each time they are performed. (i.e. 5 squats, then 6 squats, then 7 squats )

Zone Diet: The diet that CrossFit endorses. This diet is based on macronutrients.

SQ: Squat

PR: Personal Record. This refers to when you reach your personal best in a given exercise. For example, completing a certain number of push-ups in a minute.

Hero WOD: These workouts are named after first responders who have died in the line of duty. These workouts are especially difficult to remind CrossFitters of the sacrifices that these men and women made for their country.

Magee suggests that you communicate with your coach any limitations or restrictions you have, especially if youre just getting back into a workout routine or are a beginner. Once a person has been through their initial assessment, a qualified coach will help them determine the any modifications, such as particular movements or the volume of training for a particular workout, she says.

If you are a beginner, youre in luck. CrossFit accounts for this sector of the population. Some sort of beginner or foundations class is highly recommended for newcomers. In these classes, they'll learn the basics and improve fitness at their own pace. Once they learn the basic foundational skills and build their confidence, they can move into regular classes, explains Magee. A less experienced or very de-conditioned individual would be advised to start with fewer classes per week (usually 2-3), until their bodies have adapted to the new movements and the volume of training.

Even if you arent quite ready to jump full force into CrossFit, there are effective elements of the workout that you can incorporate into your current exercise routine.

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What is CrossFit? And is it right for you? Here's what you need to know - NBC News

8 Healthy Dishes You Need to Try in Seattle – Thrillist

Posted: November 9, 2019 at 5:45 am

How to Shake up Your Diet in Seattle - Thrillist Courtesy of Taylor Shellfish Farms

Keeping up with the latest and greatest of a citys food scene can take a toll on your body. Restaurant food in general runs a bit heavy and those Instagram darlings tend to be the kinds of menu items that particularly pack on the paunch. But Seattles idyllic setting -- nestled between the pristine waters of Puget Sound, the lush farmland of the Skagit Valley, and the acclaimed orchards on the east side of the Cascades -- provides the city with fresh ingredients that creative chefs can turn into healthful dishes without even having to try. Yes, Seattle is full of places where you can eat well while eating your way to wellness, and weve rounded up a few of our favorite dishes to set you on that path.

In some cities, the hot happy hour bar serves chicken wings or deep-fried cheese sticks. In Seattle, theres no better post-work snack than shellfish. Oyster happy hours abound around the city, and theres always at least one oyster on discount at Taylor, where there are also drink deals (from 2-5pm or 3-6pm, depending on location). But the real value is in the Salish Sampler (available at the Queen Anne and Bellevue locations), a giant platter that will lure your co-workers from their usual haunts with a variety of local oysters, chilled prawns, sliced sashimi, and whatever else is looking good at the raw bar. Because Taylor -- a fifth-generation shellfish farm -- also grows most of the shellfish themselves, its as fresh as possible, straight from low tide to the high bar tables.

Every meal at Vif, a wine merchant/cafe, feels like self care. Its the kind of place where people stop to chat with their barista or camp out for hours with their work -- everyday. In part, thats possible because its the kind of place where the food leaves you feeling great, both physically and about what you just ordered. That includes the most satisfying way to start the day: a bowl of green lentils enriched by a seven-minute egg plopped in the center and the tangy tangle of pickled fennel on top.

When people hear that the best ice cream in Seattle comes from a vegan shop, reactions tend to range from somewhat dubious to really, really sure that everyone is wrong. However, the textures and flavors pop in the nut- and coconut-based concoctions from this partnership between a pastry chef and a ballerina-turned-vegan cafe owner. But perhaps their most impressive feat of frozen dessert wizardry is the smooth sorbet with the richness of beet juice, sweetness of berries, and just that tiny hint of rosewater romance.

Ethiopian cuisine, of which Seattle has a fair amount, tends to go well with health-focused eating: the staple starch is injera, a bread made from the high-iron, gluten-free ancient grain called teff. Beyond that, a calendar full of fasts abstaining from meat and animal products in Ethiopian culture means that there are always tons of vegetarian -- and often vegan -- options on every menu. The vegetarian combo at Jebena, like at many places, includes a scoop of shiro wot (a garbanzo-flour stew), turmeric-tinted cabbage, red and yellow lentils, a clump of spinach, and a salad. But Jebenas versions of these foods, made from scratch by owner Martha Seyoum and her family, are easily some of the best in the city, with clear flavors and varied textures, along with her incredible service. Call ahead to request all-teff injera (gluten-free) or to see if shell be pouring coffee from the jebena, the traditional pot for which the restaurant is named.

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Southeast Asias vegetable-heavy cuisine creates an easy go-to for folks in search of a salad in Seattle. But among the wide variety of Thai and Vietnamese restaurants, this Rainier Valley gem has long stood out for its careful preparations of Isaan food -- the cuisine of Northern Thailand and neighboring Laos. But unlike the low-key versions of the hand-shredded underripe fruit salad youll find in Thai and Vietnamese restaurants, this Lao version packs a wallop of flavor with the addition of padaek, or fragrant fish paste.

Since well before the arrival of the ubiquitous poke bowl restaurants, this humble downtown lunch shop has served the best raw fish bowl around. While the menu includes a few dozen ways to order protein over rice, the hwe dup bap -- sashimi-style fish with spicy Korean sauce -- keeps things fresh and healthy. Every bowl includes lightly steamed vegetables and the option for brown rice instead of white (or double vegetables). While plenty of people in the always-long line (dont worry, it moves quickly) might be seduced by the meatier options, the raw fish tastes -- and feels -- the best.

Each of chef Mutsuko Somas bowls of soba noodles contain endless depths of comfort. Inspired by Washingtons big buckwheat crop, Soma returned to Japan to master the art of making noodles from its nutritious seeds. Now, at her Fremont noodle bar, she serves up bowl after bowl with subtle, savory broth. The menu changes with the seasons, but few of the noodle options rival the matsutake bowl, made from the earthy, elusive pine mushroom. Brightened with yuzu zest and filled out with mitsuba (a leafy green), and leeks, the bowl screams warmth without the unhealthfulness that usually accompanies so-called comfort foods.

The size of a large hallway, Anar is a juice bar and health-focused lunch spot from the same folks whose Mamnoon, Mbar, and Mamnoon Street have received much critical acclaim. But you dont hear much about Anar, and that has nothing to do with the quality. The little spot churns out fresh, cold-pressed juices and bowls of vegetarian Middle Eastern food, like a chickpea stew called balila. Spiced with cumin, turmeric, and Aleppo pepper, and brightened with lemon and fresh parsley, its thick and filling -- especially so with the optional dollop of yogurt.

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Original post:
8 Healthy Dishes You Need to Try in Seattle - Thrillist


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